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Scrotoplasty: How to Know if You Need It and What to Expect

Scrotoplasty is a surgical procedure that repairs the scrotum or creates a new one. (1)

The scrotum is a sensitive area; many men struggle with scrotum issues and do not always feel comfortable talking about them. Issues such as excess skin, asymmetry, or other aesthetic concerns can leave men in search of treatment. Scrotoplasty procedures can help men address different scrotum concerns.

When considering a scrotoplasty, you will see the best results by going to a doctor who specializes in this treatment. Led by Dr. Mo Bidair, California Adult Circumcision has become one of Southern California’s leading urology practices. Dr. Bidair brings decades of expertise as a board-certified urologist and surgeon to help men improve both the function and aesthetics of their genitalia. Whether you are seeking scrotoplasty for medical reasons, aesthetic concerns, or to address issues from prior surgeries, Dr. Bidair and his team can offer individualized care to help you achieve your goals with confidence.

If you are interested in learning more about scrotoplasty, schedule a personal consultation with Dr. Bidair by contacting California Adult Circumcision online or by calling (619) 486-5005.

About Scrotoplasty

Scrotoplasty modifies the skin and underlying tissues of the scrotum. Some patients seek scrotoplasty to correct issues such as sagging, asymmetry, or deformities resulting from previous surgeries, injuries, or natural aging. Others pursue the procedure for purely aesthetic reasons. Some men have a sail-like appearance (or webbing) of the scrotum as it attaches to the penis. In some men, that sail-like appearance can attach to the middle or distal (far end) of the shaft of the penis. The appearance can be unpleasant visually and can give the illusion that the length of the penile shaft is shorter than it actually is.

How to Know if You Need Scrotoplasty

It may be worth pursuing a scrotoplasty if you are experiencing discomfort from sagging or excess scrotal skin, dealing with asymmetry caused by prior surgeries, struggling with irritation during daily activities, scrotal webbing (or sail-like appearance), or simply feeling self-conscious about the appearance of your scrotum. In some cases, functional issues such as difficulty with hygiene or interference during exercise can be addressed with scrotoplasty. Additionally, some patients who seek scrotoplasty treatments are those undergoing a gender-affirming transition period.

Types of Scrotoplasty and What to Expect

Several different techniques can be used for a scrotoplasty, including:

  • Scrotal Reduction: Removes excess skin and tissue to create a tighter, more lifted scrotum, often chosen by men bothered by loose scrotal tissue.
  • Scrotal Reconstruction: Repairs damage from trauma, previous surgeries, or medical conditions such as lymphedema or cancer treatments.
  • Scrotal Augmentation: Enhances the appearance of the scrotum, sometimes combined with testicular implants or fillers.
  • Scrotal Webbing Correction: Eliminates webbing between the penis and scrotum (also called penoscrotal webbing) to improve aesthetics and sexual function.

Benefits

Scrotoplasty procedures offer a wide variety of benefits. Under Dr. Bidair’s expertise, our patients see improvements through:

  • Enhanced Aesthetics: Restoration or improvement of the scrotum’s appearance can lead to increased self-confidence.
  • Improved Comfort: Addressing conditions such as excessive skin can alleviate discomfort during daily activities.
  • Reconstruction After Trauma: Scrotoplasty can help patients regain normal function and aesthetics.
  • Long-Lasting Results: When performed by a skilled surgeon, results tend to be durable and satisfying.
  • Nerve Sensation Preservation: Innovative surgical techniques focus on maintaining nerve integrity, ensuring that sensation remains intact.

To see how you can benefit from scrotoplasty, contact Dr. Bidair and his team online or by calling (619) 486-5005 to schedule a personal consultation.

Ideal Candidates

Ideal candidates for scrotoplasty are individuals in good overall health who are looking to correct scrotal abnormalities, reduce discomfort, or achieve a more refined aesthetic appearance. Whether you are dealing with sagging skin, previous surgical complications, or simply seeking cosmetic improvement, Dr. Bidair will determine your eligibility for a scrotoplasty during your personal consultation. Undergoing a scrotoplasty is a big decision, and therefore, it is important to consult a trusted professional to determine if this treatment is right for you.

Personal Consultation

If you decide to proceed with scrotoplasty, your treatment process will begin with a personal consultation at California Adult Circumcision. During this meeting, Dr. Bidair will carefully assess your concerns and anatomy to determine whether a scrotoplasty is right for you. Following this, Dr. Bidair will give you a thorough, detail-oriented, personalized treatment plan designed to deliver both aesthetic refinement and improved comfort to your scrotum.

To schedule this personal consultation with Dr. Bidair, contact California Adult Circumcision online or by calling (619) 486-5005.

Preparation

Dr. Bidair will provide you with a set of preoperative instructions to help you prepare for your scrotoplasty and help you gain a full grasp of what to expect throughout the process. Patients are typically asked to:

  • Avoid smoking and nicotine use
  • Cease use of certain medications as advised, especially those with blood-thinning properties
  • Maintain good hygiene in the genital area
  • Take time away from work and other commitments to rest

Following the guidelines provided by Dr. Bidair and the California Adult Circumcision staff will help put you in a position for a successful treatment.

Procedure

The details of each scrotoplasty treatment will vary widely depending on the technique used and your scrotoplasty goals. You can expect to be given some form of anesthesia at the start of the procedure to keep you comfortable throughout treatment. Following this, Dr. Bidair will meticulously remove or reposition excess tissue and sculpt the area to a natural, symmetrical result. For more complex cases, such as reconstruction, Dr. Bidair may employ specialized techniques to repair damaged structures while preserving as much natural tissue as possible.

Recovery

Recovery after scrotoplasty will depend on the type of scrotoplasty you receive. Swelling, bruising, and mild discomfort are common in the first few days but typically subside within a week or two. Dr. Bidair will provide you with a complete set of aftercare instructions, which may include:

  • Wearing supportive underwear
  • Avoiding strenuous activity and sexual intercourse for 4-6 weeks
  • Taking prescribed or over-the-counter pain medications as needed
  • Attending follow-up appointments to monitor healing

Many patients are usually able to resume light activities within a few days and fully return to normal routines within a month, although Dr. Bidair will advise you on your recovery timeline.

Results

The results of your scrotoplasty become increasingly apparent as swelling resolves. Once recovered, patients will notice a tighter, more youthful scrotum appearance, improved comfort, and enhanced confidence. Final results are usually seen within 2-3 months after your scrotoplasty, and Dr. Bidair will monitor your progress and ensure you achieve your desired results during scheduled follow-up appointments.

Cost of Scrotoplasty in San Diego

The cost of your scrotoplasty will vary depending on the complexity of your case and the techniques used. After evaluating your concerns and developing a treatment plan, Dr. Bidair will give you a detailed cost estimate. Dr. Bidair and his team prioritize transparency and will be happy to answer any questions about pricing.

Schedule your consultation today to explore your scrotoplasty options and costs. If you have any questions or prefer to schedule over the phone, please call our La Mesa office at (619) 486-5005.

FAQ

Is scrotoplasty permanent?

Yes, in most cases, the adjustments made during a scrotoplasty procedure are permanent. Once excess skin is removed or repairs are made, the improvements will remain as time passes, although natural aging processes will continue.

Does scrotoplasty affect fertility?

No. Scrotoplasty is performed on the skin and connective tissue of the scrotum, not the testicles themselves, so it does not interfere with fertility. If you are concerned about your fertility being affected by this procedure, express these concerns to Dr. Bidair during your consultation for a more in-depth explanation of the process.

Is scrotoplasty painful?

The scrotoplasty procedure itself is not considered painful, as an anesthetic is used. Most patients report only mild discomfort following scrotoplasty, which is often easily managed with over-the-counter or prescribed pain medications. Following aftercare instructions is important for a smooth recovery.

Can scrotoplasty be combined with other procedures?

Yes, scrotoplasty can be combined with other procedures. If you are interested in addressing other cosmetic or functional concerns, let Dr. Bidair know during your consultation. He will come up with a personalized treatment plan designed to address each of your goals.

How long before I can have sex again after scrotoplasty?

Patients are generally advised to refrain from sexual activity for 3-6 weeks to ensure proper healing. This time frame may vary from patient to patient; attending follow-ups with Dr. Bidair is crucial so that you can know when it is appropriate to resume certain activities.

What will scrotoplasty recovery look like?

Scrotoplasty recovery generally involves some mild pain, soreness, and bruising. Patients are advised to rest, take time away from work, follow aftercare instructions, and take pain medications as directed. Swelling and bruising will likely begin to fade after about a week, and most patients can slowly resume their normal routines around this time.

References

  1. Lucas JW, Lester KM, Chen A, Simhan J. Scrotal reconstruction and testicular prosthetics. Translational Andrology and Urology. 2017;6(4):710-721. doi:https://doi.org/10.21037/tau.2017.07.06
  2. Li Y, Zhu X, Feng D, et al. A Modified Scrotoplasty for Treating Severe Penoscrotal Webbing in Children. Frontiers in pediatrics. 2020;8. doi:https://doi.org/10.3389/fped.2020.00551